Provider Documents
PROVIDER RESOURCES / PROVIDER DOCUMENTS
- GENERAL
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Longevity Provider Portal Change- Provider Manual
- 2026 Stars Quick Reference
- Mobile terms and Conditions
Online Pharmacy Directory- UB-04 Claim Instructions
- How to use the Provider Portal
- Provider Communication - Capitation Payments
- Model of Care
- Provider Quick Reference Guide
- Longevity COVID Testing Policy
- Member ID Card Examples
- Waiver of Liability
- Online Provider Directory
- FORMS
Electronic Funds Transfer Form- PHARMACY
- COVERAGE GUIDELINES
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- Durable Medical Equipment Policy
- Wound Care Dressings Policy
- Pharmacogenetic Testing Policy
- Diabetic Shoes Policy
- Companion Care Policy
- Concurrent Care Policy
- Urine PCR Test Policy
- Non Emergency Ambulance Transportation Policy
- Supplemental Benefits Policy
- Skin Substitute Grafts Cellular and Tissue Based Products Policy
- Lower Extremity Invasive Diagnostic and Endovascular Procedures Policy
- Continuity of Care Policy
- Coverage Determinations Policy
- Wound Care Policy
- 2026 Prior Authorization Guide
- Mental Health Services Policy
- Wound Care Claims Policy
More Resources
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Patient Authorization
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For Prescribers and Pharmacies
Find formularies, prior authorization criteria, step therapy criteria, and more.
High Level Case Management
All members receive complex case management. Your high-risk patients may be eligible for more intensive case management.
About Provider Portal
The Longevity Health provider portal offers providers secure, web-based access to healthcare information, including claims, eligibility, and benefits.
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